tenderbulletins.co.za · Web view2021. 3. 29. · CONTRACT SANRAL R.510-020-2016/1C-SL....

FORM A1: CERTIFICATE OF ATTENDANCE AT CLARIFICATION MEETING

CONTRACT SANRAL R.510-020-2016/1C-SLSUB-CONTRACT FOR SITE MATERIALS LABORATORY FOR THE IMPROVEMENT OF NATIONAL ROUTE R510 SECTION 2 FROM BIERSPRUIT (KM 6.3) TO THABAZIMBI (KM 33.8) (TOTAL 27.5 KM)

Notes to Tenderer:1. Unless the attendee’s name, details and signature also appear on the attendance

register this Certificate of Attendance shall not be accepted and the tenderer’s offer shall be deemed non-responsive.

2. Please original copy of completed and signed Certificate in tender.

This is to certify that I,.................................................................................................................................................................................................................................................................................................

..................................................................................................................................................................

representative of (tenderer)........................................................................................................................................................................................................................................................................................

of (address)..............................................................................................................................................

..................................................................................................................................................................

..................................................................................................................................................................

telephone number ....................................................................................................................................

fax number .................................................................................................................................................................................................................................................................................................................

e-mail..........................................................................................................................................................................................................................................................................................................................

attended the clarification meeting and on (date) ......................................................................................

conducted by the Employer with SANRAL

in the presence of (Employer’s representative) .......................................................................................

TENDERER'S REPRESENTATIVE (Signature).........................................................................................................................................................................................................................................................

EMPLOYER’S REPRESENTATIVE (Signature)........................................................................................................................................................................................................................................................

EDMS # 7434531 - Tender Document T2-1

NOT REQUIRED

FORM A1.1: CERTIFICATE OF INTENTION TO SUBMIT A TENDER


Notes to Tenderer:

1. The duly completed certificate of intention to submit a tender must be submitted by whoever intends to tender for this particular tender within seven (7) days from the date the tender is advertised. Failure to submit the certificate of intention to tender within the required period may render the tenderer non-responsive and SANRAL does not accept responsibility for any communication not received by the tenderer timeously.

2. Late notification of intention to tender by a prospective tenderer will not necessarily result in the tender closing date being extended.

3. Should you intend to submit a tender for this particular tender please sign the certificate, scan and email the completed document to the email address indicated in T1.1 of this tender document.

4. The Employer shall send all correspondence, including Addenda, only to the Tenderer’s email address as provided herein.

This is to certify that I, ......................................................................................................................

................................................................................................................................................................

representative of (insert name of tenderer) ..........................................................................................

of (address)

................................................................................................................................................................

................................................................................................................................................................

telephone number ..................................................................................................................................

fax number ..........................................................................................................................................

e-mail ...................................................................................................................................................

intends to submit a tender in response to the tender notice and invitation for tender this contract.

TENDERER'S REPRESENTATIVE ..................................................... Date …………………..(Signature)


FORM A2.1: CERTIFICATE OF AUTHORITY FOR SIGNATORY


Notes to tenderer:1. The signatory for the tenderer shall confirm his/her authority thereto by attaching on the

tendering company’s letterhead a duly signed and dated copy of the relevant resolution of the board of directors/partners.

2. A certificate is required from each member of the joint venture clearly setting out:- authority for signatory,- undertaking to formally enter into a joint venture contract should an award be made

to the joint venture,- name of designated lead member of the intended joint venture, as required by tender

condition 4.1.1.3. The resolution below is given as an example of an acceptable format for authorisation,

but submission of this page with the example completed shall not be accepted as authorisation of the tenderer’s signatory.

By resolution of the board of directors passed at a meeting held on .......................................................

Mr/Ms ...................................................................................................................................................... ,whose signature appears below, has been duly authorised to sign all documents in connection with the tender for

Contract:

and any contract which may arise there from on behalf of (enter name of tenderer in block capitals)

..................................................................................................................................................................

SIGNED ON BEHALF OF THE COMPANY:......................................................................

IN HIS/HER CAPACITY AS:..............................................................................................

DATE:................................................................................................................................

SIGNATURE OF SIGNATORY: ........................................................................................

WITNESS: ....................................................... ......................................................................SIGNATURE SIGNATURE

....................................................... ......................................................................NAME (PRINT) NAME (PRINT)


FORM A2.2: DECLARATION OF TENDERER’S CURRENT STATUS OF ANY DEBT OUTSTANDING TO SANRAL


Notes to tenderer:1. The signatory for the tenderer or RFQ as the case may be shall complete and sign this

form declaring the current status of (any) debt outstanding to SANRAL.

2. A declaration is required from each member of the Joint Venture.

I, the undersigned, ……………………………….....………………………………..……………………. declare that:

1. the tenderer or any of its Directors/Members do not have any debt outstanding to SANRAL, other than what is listed below:

Please provide the details:

...............................................................................................................................................

...............................................................................................................................................

...............................................................................................................................................

...............................................................................................................................................

...............................................................................................................................................

2. the tenderer and/or any of its Directors/Members freely, voluntarily and without undue duress unconditionally authorises the SANRAL to set off any debts agreed to which is due and payable by the tenderer or any of its Directors/Members in terms of this declaration against any moneys due to the tenderer or any of its Directors/Members.

3. to the best of my knowledge the above information is true and accurate.

SIGNATURE : …………………………………………………………………………………………..

Signed and sworn before me at______________ on the ______day of __________________

_______________________________The deponent having:

1. Acknowledge that he/she knows and understands the contents hereof;2. Confirmed that he/she has no objection to the taking of the prescribed oath; and3. That he/she considered the prescribed oath as biding upon her conscience;4. The Regulations contained in the Government Gazette Notice R1258 of July 1972 and the R

1648 of August 1977 having been complied with.

____________________________COMMISSIONER OF OATHS:


FORM A3.1: COMPULSORY ENTERPRISE QUESTIONNAIRE (INCORPORATING SBD4)


Notes to tenderer:

1) Any legal person, including persons employed by the State, or persons having a kinship with persons employed by the State, including a blood relationship, may make an offer or offers in terms of this tender. In view of possible allegations of favouritism, should the resulting tender, or part thereof, be awarded to persons employed by the State, or to persons connected with or related to them, it is required that the tenderer or his/her authorised representative declare his/her position in relation to the evaluating/adjudicating authority where: the tenderer is employed by the State; and/or the legal person on whose behalf the tender document is signed, has a

relationship with person/s who are involved in the evaluation and/or adjudication of the tender, or where it is known that such a relationship exists between the person or persons for or on whose behalf the declarant acts and persons who are involved with the evaluation and/or adjudication of the tender

2. Definitions:2.1 “State” means:

a) any National or Provincial Department, National or Provincial Public Entity or Constitutional Institution within the meaning of the Public Finance Management Act, 1999 (Act No 1 of 1999);

b) any Municipality of Municipal Entity;c) Provincial Legislature;d) National Assembly or the National Council of Provinces; or e) Parliament.

2.2 “Shareholder” means a person who owns shares in the company and is actively involved in the management of the enterprise or business and exercises control over the enterprise.

The following particulars must be furnished. In the case of a joint venture, separate enterprise questionnaires in respect of each partner must be completed and submitted.

Section 1: Name of enterprise: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Section 2: VAT registration number, if any: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Section 3: CIDB registration number, if any: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Section 4: Particulars of sole proprietors and partners in partnerships

Name* Identity number* Personal income tax number*

* Complete only if sole proprietor or partnership and attach separate page if more than 3 partners


Section 5: Particulars of companies and close corporations

Company registration number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Close corporation number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tax reference number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

The names of all directors/trustees/shareholders/members (attach a separate page if more than 3 directors/trustees/shareholders/members):

Name

Director/Trustee/

Shareholder/

Member

Identity number*Personal

income tax number*

Employee/

Persal number

Section 6: Record in the service of the StateIndicate by marking the relevant boxes with a cross, if any sole proprietor, partner in a partnership or director, manager, principal shareholder or stakeholder in a company or member of a close corporation is currently or has been within the last 12 months in the service of any of the following:

a member of any municipal council a member of any provincial legislature a member of the National Assembly or the

National Council of Province a member of the board of directors of any

municipal entity an official of any municipality or municipal entity

an employee of any provincial department, national or provincial public entity or constitutional institution within the meaning of the Public Finance Management Act, 1999 (Act 1 of 1999)

a member of an accounting authority of any national or provincial public entity

an employee of Parliament or a provincial legislature

If any of the above boxes are marked, disclose the following:

Name of sole proprietor, partner, director, manager, principal shareholder or stakeholder

Name of institution, public office, board or organ of state and position held

Status of service(tick appropriate column)Current Within last

12 months

*insert separate page if necessary

Section 7: Declaration of Interest:If any legal person on whose behalf the tender document is signed, has a relationship with person/s who are involved in the evaluation and/or adjudication of this tender, or where it is known that such a relationship exists between the person/s for on whose behalf the declarant acts and person/s who are involved with the evaluation and/or adjudication of the tender:

1. Are you or any person connected with the tenderer presently employed by the State?

2. If so, furnish the following particulars:- Name of person/director/trustee/shareholder/member- Name of State institution at which you or person

connected to the tenderer is employed- Position occupied in State institution

...........................................................................

...........................................................................

...........................................................................


3. If you are presently employed by the State, did you obtain the appropriate authority to undertake remunerative work outside Employment in the public sector?

4. If yes, did you attach proof of such authority to the tender document?

(Note: Failure to submit proof of such authority, where applicable, may result in disqualification of the tender.)

If no, furnish reasons for non-submission of such proof............................................................................

...........................................................................

...........................................................................5. Did you or your spouse or any of the company’s

directors/trustees/shareholders/members or their spouses conduct business with the State in the previous 12 months?

If so, furnish particulars. ...........................................................................

...........................................................................

...........................................................................6. Do you, or any person connected with the tenderer,

have any relationship (family, friend, other) with a person employed by the State and who may be involved with the evaluation and/or adjudication of this bid?


...........................................................................

...........................................................................7. Are you, or any person connected with the tenderer,

aware of any relationship (family, friend, other) between any other tenderer and any person employed by the State who may be involved with the evaluation and/or adjudication of this tender?


...........................................................................

...........................................................................8. Do you or any of the

directors/trustees/shareholders/members of the company have any interest in any other related companies whether or not they are tendering for this contract?


...........................................................................

...........................................................................


YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

Section 8: Declaration

The undersigned, who warrants that he/she is duly authorised to do so on behalf of the enterprise: i) authorizes the Employer to obtain a tax clearance certificate from the South African Revenue Services that

my/our tax matters are in order; ii) confirms that the neither the name of the enterprise or the name of any partner, manager, director or other

person, who wholly or partly exercises, or may exercise, control over the enterprise appears on the Register of Tender Defaulters established in terms of the Prevention and Combating of Corrupt Activities Act of 2004;

iii) confirms that no partner, member, director or other person, who wholly or partly exercises, or may exercise, control over the enterprise, has within the last five years been convicted of fraud or corruption;

iv) confirms that I/we are not associated, linked or involved with any other tendering entities submitting tender offers and have no other relationship with any of the tenderers or those responsible for compiling the scope of work that could cause or be interpreted as a conflict of interest; and

iv) confirms that the contents of this questionnaire are within my/our personal knowledge and are to the best of my/our belief both true and correct.

I, the undersigned ....................................................................................................................................................certify that the information furnished in Form A3.1 above is correct. I accept that the Employer may reject the tender or act against me in terms of F.5.7 of the Conditions of Tender should this declaration prove to be false.

........................................................................................ ................................................................Signature (duly authorised)…………………………………………… Date

........................................................................................ ................................................................Position Name of Enterprise


FORM A3.2: CERTIFICATE OF INDEPENDENT TENDER (INCORPORATING SBD9)


Notes to tenderer:1. This certificate conforms to Treasury Regulation 16A9 and the requirement of section 4

(1)(b)(iii) of the Competition Act No. 89 of 1998, as amended, that prohibits an agreement between, or concerted practice by, firms, or a decision by an association of firms, if it is between parties in a horizontal relationship and if it involves collusive tendering.

2. Collusive tendering is a conspiracy between businesses that would normally be expected to compete, to agree not to compete, in a tender process.

3. This certificate serves as a declaration by the tenderer that the tender submitted is free from any collusion with a competitor.

Declaration

I, the undersigned, in submitting the accompanying tender on behalf of the tenderer do hereby make the following statements that I certify to be true and complete in every respect:

1. I have read and understand the notes to, and the contents of, this Certificate;

2. I understand that the accompanying tender will be disqualified if this Certificate is found to be not true and complete in every respect;

3. I am authorised by the tenderer to sign this Certificate, and to submit the accompanying tender, on behalf of the tenderer;

4. Each person whose signature appears on the accompanying tender has been authorised by the tenderer to determine the terms of, and to sign the tender, on behalf of the tenderer;

5. For the purposes of this Certificate and the accompanying tender, I understand that the word “competitor” shall include any individual or organisation, other than the tenderer, whether or not affiliated with the tenderer, who:

a) has been requested to submit a tender in response to this tender invitation;

b) could potentially submit a tender in response to this tender invitation, based on their qualifications, abilities or experience; and

c) provides the same goods and services as the tenderer and/or is in the same line of business as the tenderer.

6. The tenderer has arrived at the accompanying tender independently from, and without consultation, communication, agreement or arrangement with any competitor. However, communication between partners in a joint venture or consortium will not be construed as collusive tendering.

7. In particular, without limiting the generality of statement 6 above, there has been no consultation, communication, agreement or arrangement with any competitor regarding:

a) prices;

b) geographical area where product or service will be rendered (market allocation);

c) methods, factors or formulas used to calculate prices;


d) the intention or decision to submit, or not to submit, a tender;

e) the submission of a tender which does not meet the specifications and conditions of the tender; or

f) tendering with the intention not to win the tender.

8. In addition, there have been no consultations, communications, agreements or arrangements with any competitor regarding the quality, quantity, specifications and conditions or delivery particulars of the products or services to which this tender relates.

9. The terms of the accompanying tender have not been, and will not be, disclosed by the tenderer, directly or indirectly, to any competitor, prior to the date and time of the official tender opening or of the awarding of the contract.

10. I am aware that, in addition and without prejudice to any other remedy provided to combat any restrictive practices related to tenders and contracts, tenders that are suspicious will be reported to the Competitions Commission for investigation and possible imposition of administrative penalties in terms of section 59 of the Competition Act No. 89 of 1998 and/or may be reported to the National Prosecuting Authority for criminal investigation and/or may be restricted from conducting business with the public sector for a period not exceeding ten (10) years in terms of the Prevention and Combating of Corrupt Activities Act No. 12 0f 2004 or any other applicable legislation.

Signature: ................................................................................................................................................

Date: ........................................................................................................................................................

Name: ......................................................................................................................................................

Position: ...................................................................................................................................................


FORM A3.3: DECLARATION OF TENDERER’S PAST SUPPLY CHAIN MANAGEMENT PRACTICES (INCORPORATING SBD8)


Notes to tenderer:1. This form document must form part of all tenders invited.2. This form serves as a declaration to be used by institutions in ensuring that when goods

and services are being procured, all reasonable steps are taken to combat the abuse of the supply chain management system.

3. The tender of any tenderer may be disregarded if that tenderer or any of its directors have –(a) abused the institution’s supply chain management system;(b) committed fraud or any other improper conduct in relation to such system; or(c) failed to perform on any previous contract.

4. In order to give effect to the above, the following questionnaire must be completed and submitted with this tender.

4.1 Is the tenderer or any of its directors listed on the National Treasury’s Database of Restricted Suppliers as companies or persons prohibited from doing business with the public sector?

Companies or persons who are listed on this Database were informed in writing of this restriction by the Accounting Officer/ Authority of the institution that imposed the restriction after the audi alteram parlem rule was applied.

The Database of Restricted Suppliers now resides on the National Treasury website (www.treasury.gov.za) and can be accessed by clicking on its link at the bottom of the home page.

Yes

No

4.1.1 If Yes, furnish particulars:

4.2 Is the tenderer or any of its directors listed on the Register for Tender Defaulters in terms of Section 29 of the Prevention and Combatting of Corrupt Activities Act (No. 12 of 2004)?

The Register for Tender Defaulters can be accessed on the National Treasury website ((www.treasury.gov.za) by clicking on its link at the bottom of the home page.

Yes

No


4.3 Was the tenderer or any of its directors convicted by a court of law (including a court outside the Republic of South Africa) for fraud or corruption during the past five years?

Yes

No



4.4 Was any contract between the tenderer and any organ of State terminated during the past five years on account of failure to perform on or comply with the contract?

Yes

No


CERTIFICATION

I, the undersigned, ......................................................................................................................... certify that the information furnished on this declaration form is true and correct.

I accept that, in addition to cancellation of a contract, action may be taken against me should this declaration prove to be false.

Signature: ..................................................................................................................................

Name: ........................................................................................................................................

Position: .....................................................................................................................................

Date: ..........................................................................................................................................

Name of tenderer: ......................................................................................................................


FORM A3.4: REGISTRATION ON NATIONAL TREASURY CENTRAL SUPPLIER DATABASE


The tenderer shall provide a copy of the Active Supplier Listing on the National Treasury Central Supplier Database. (www.treasury.gov.za) . Tenderers who are not registered on the Central Supplier Database should attach proof of their application for registration (refer to Tender Data Clause 4.1.1).

Each member of the JV shall be registered on the National Treasury Central Supplier Database on the closing date for tender submissions. This registration shall be for the supply of the Commodity: Materials Testing, with in the Class: Quality Control from the Family: Manufacturing Technologies in the Segment: Engineering & Research & Technology Based Services.

A copy of the Active Supplier Listing must be provided for each member of the Joint Venture.

Name of Contractor (Lead Partner): ........................................................................................................

Central Supplier Database Supplier Number: ..........................................................................................

Expiry Date: .............................................................................................................................................

Name of Contractor (Targeted Partner): ..................................................................................................

Central Supplier Database Supplier Number: ..........................................................................................

Expiry Date: .............................................................................................................................................

SIGNED BY THE TENDERER: ..............................................................................................................


http://www.treasury.gov.za/

FORM A3.5: JOINT VENTURE AGREEMENT


The tenderer shall attach a signed copy of the CIDB Joint Venture Agreement (March 2004) (First Edition of CIDB document 1017) to this form, which can be sourced from http://www.cidb.org.za/publications/Documents/Joint Venture Agreement.pdf .

Name of Contractor (Lead Partner): ........................................................................................................

Date: ........................................................................................................................................................

Name of Contractor (Targeted Partner): ..................................................................................................

Date: ........................................................................................................................................................

SIGNED BY THE TENDERER: ...............................................................................................................


http://www.cidb.org.za/publications/Documents/Joint%20Venture%20Agreement.pdf

FORM A4: SCHEDULE OF VARIATIONS OR DEVIATIONS BY TENDERER


Notes to tenderer:1. The postulated tender MUST be priced.2. When submitting an alternative tender (including an alternative contract period), the

contents of notes 5 and 6 under “Notes to tenderer” under Part T2: Returnable Schedules, shall be followed.

3. In addition, condition 4.12 of part T1.3: Tender Data, shall be followed when submitting an alternative/qualifying tender.

PAGE DESCRIPTION

SIGNED ON BEHALF OF THE TENDERER: ............................................................................................................................................................................................................................................................


FORM A5: SCHEDULE OF ADDENDA TO TENDER DOCUMENTS


We confirm that the following communications received from the Employer before the submission of this tender offer, amending the tender documents, have been taken into account in this tender offer:

DATE TITLE OR DETAILS

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

SIGNED ON BEHALF OF THE TENDERER: ..........................................................................................


FORM A6: CERTIFICATES OF TAX COMPLIANCE (INCORPORATING SBD2)


The tenderer shall attach to this page a current Tax Clearance certificate and VAT Registration certificate which shall be obtained by the tenderer from the South African Revenue Service (SARS).

Each member of the Joint Venture shall comply with the above requirement.

Where such certificates are no longer issued by SARS (as described in National Treasury Instruction Number 3 of 2014/2015 – Tax compliance measures for persons conducting business with the State), the Tenderer shall complete the declaration below.

I, .......................................................................................... (name) the undersigned in my capacity

as ....................................... (position) on behalf

of ................................................................................... (name of company) herewith grant consent

that SARS may disclose to the South African National Roads Agency SOC Limited (SANRAL) our tax

compliance status. For this purpose, our unique security personal identification number (PIN)

is ............................

SIGNED BY THE TENDERER: .................................................................................................


FORM A7: CERTIFICATE OF INSURANCE COVER


Note to tenderer: The details of the individual members of the Joint Venture must be provided.The tenderer shall provide the following details of this insurance cover:

i) Name of Tenderer:.....................................................................

ii) Period of Validity:.......................................................................

iii) Value of Insurance:

Professional Indemnity (for each and every case)

Company:............................................................................

Value:...................................................................................

General public liability

Company:............................................................................

Value:...................................................................................

Third party liability

Company:............................................................................

Value:...................................................................................



FORM A8: TENDERER’S CREDIT RATING AND BANK DETAILS


Notes to tenderer:

1. The tenderer shall attach to this form a letter from the bank at which he declares he conducts his account. The contents of the bank’s letter must state the credit rating that the bank in addition to the information required below accords to the tenderer for the business envisaged by this tender. Failure to provide the required letter with the tender submission shall render the tenderer’s offer non-responsive.

2. The tenderer’s banking details as they appear below shall be completed.

3. Details of all the members of the joint venture shall be provided and attached to this form.

The tenderer shall provide the following:

i) Name of account holder:.........................................................................................

ii) Account number:.....................................................................................................

iii) Bank name:.............................................................................................................

iv) Branch number:.......................................................................................................

v) Bank and branch contact details.............................................................................



FORM A9: CERTIFICATE OF TENDERER'S LITIGATION HISTORY


Note to tenderer:The tenderer shall list below details of any litigation with which the tenderer (including its directors, shareholders or other senior members in previous companies) has been involved with any organ of state or state department within the last ten years. The details must include the year, the litigating parties, the subject matter of the dispute, the value of any award or estimated award if the litigation is current and in whose favour the award, if any, was made.

CLIENT OTHER LITIGATING

PARTY

DISPUTE AWARD VALUE

DATE RESOLVED



FORM A10: SCHEDULE OF CURRENT COMMITMENTS


Notes to tenderer: 1. The purpose of this form is for the tenderer to identify areas of conflict with respect to key

personnel proposed for this project. Failure to identify where areas of conflict occur, or may occur, and which are subsequently discovered by the Employer shall render such offer as non-responsive, rejected and the tenderer automatically barred from tendering on SANRAL projects for a period of at least 3 (three) months from the date of tender closure.

2. The tenderer shall list below all projects with which proposed personnel are currently involved.

3. The start date in column 4 of the table below is that date indicated in the tender documents as being the intended start of the duties of the key personnel (i.e. expected start of design or supervisory duties).

4. In the event of a joint venture enterprise, details of all the members of the joint venture shall similarly be attached to this form.

NAME & POSITION PROJECT CLIENT START DATE (M/Y)

DURATION(MONTHS)

VALUEOF SERVICE

SIGNED ON BEHALF OF THE TENDERER: ......................................................................................... .


FORM A11: POSSIBLE COMMITMENTS OF KEY PERSONNEL CONTRACT SANRAL R.510-020-2016/1C-SLSUB-CONTRACT FOR SITE MATERIALS LABORATORY FOR THE IMPROVEMENT OF NATIONAL ROUTE R510 SECTION 2 FROM BIERSPRUIT (KM 6.3) TO THABAZIMBI (KM 33.8) (TOTAL 27.5 KM)

Notes to tenderer:1. The purpose of this form is for the tenderer to identify areas of conflict with respect to key

personnel proposed for this project. 2. The tenderer shall list below all projects/tenders for which the proposed core personnel

have been proposed, and for which results of an award are unknown at the date of tender closure of this project.

3. The start date in column 4 of the table below is that date indicated in the tender documents as being the intended start of the duties of the key personnel (i.e. expected start of design or supervisory duties).

4. If during the evaluation of the tender submission the Employer learns that a proposed key person of the site supervisory staff is also part of a team which is in line for a possible award of one of the listed projects, then the Employer will afford that tenderer the opportunity to propose alternative personnel. Any alternative personnel will result in the re-assessment of the submission with respect to the quality proposal.

NAME & POSITION PROJECT CLIENT/REGION

START DATE (M/Y)

DURATION(MONTHS)

SIGNED ON BEHALF OF THE TENDERER: __________________________________.


FORM A12:CERTIFICATE OF COMPLIANCE WITH OCCUPATIONAL HEALTH AND SAFETY ACT, 1993 AND CONSTRUCTION REGULATIONS, 2014 AS WELL AS COID ACT, 1993


Notes to tenderer:

1. Discovery that the tenderer has failed to make proper disclosure may result in the Employer terminating a contract that flows from this tender on the ground that it has been rendered invalid by the tenderer’s misrepresentation.

2. The tenderer shall attach to this form evidence that he is registered and in good standing with the Compensation Fund in terms of Section 80 of the Compensation for Injury and Disease Act (COID) (Act 130 of 1993).

3. The tenderer is required to disclose, by also attaching documentary evidence to this form, all inspections, investigations and their outcomes conducted by the Department of Labour into the conduct of the tenderer at any time during the 36 (thirty-six) months preceding the date of the tender.

SIGNED ON BEHALF OF THE TENDERER: _____________________________


FORM A13: TENDER’S B-BBEE VERIFICATION CERTIFICATE (INCORPORATING SBD6.1)


Notes to Tenderer:

1. A project specific consolidated B-BBEE Verification Certificate in the name of the JV shall be attached, as well as a valid B-BBEE verification certificate for each member of the JV on which the JV certificate was calculated.

2. The tenderer and each member of the JV shall attach to this form a valid B-BBEE Verification Certificate issued in accordance with:

- the amended Construction Sector Codes published in Notice 931 of 2017 of Government Gazette No 41287 on 1 December 2017 by the Department of Trade and Industry; or

- the revised Notice of Clarification published in the Notice 444 of 2015 published in Government Gazette 38799 on 15 May 2015 by the Department of Trade and Industry in the event that the scorecard was issued prior to 1 December 2017; or

- the revised Notice of Clarification published in Notice 444 of 2015 of Government Gazette No 38799 on 15 May 2015 by the Department of Trade and Industry and accompanied with a letter of engagement from the Verification Agency dated before 1 December 2017, in the event that the scorecard was issued on or after 1 December 2017 but prior to 28 February 2018.

3. The certificate shall:- have been issued by a Verification Agency accredited by the South African

National Accreditation System (SANAS); or- be in the form of a sworn affidavit or a certificate issued by the Companies and

Intellectual Property Commission in the case of an Exempted Micro Enterprise (EME) with a total annual revenue of less than R1.8 million if issued in accordance with the amended Construction Sector Codes published in Notice 931 of 2017 of Government Gazette No 41287 on 1 December 2017 by the Department of Trade and Industry; or

- be in the form of a sworn affidavit or a certificate issued by the Companies and Intellectual Property Commission in the case of an Exempted Micro Enterprise (EME) with a total annual revenue of less than R10 million if issued before 1 December 2017 in accordance with the revised Notice of Clarification published in Notice 444 of 2015 of Government Gazette No 38799 on 15 May 2015 by the Department of Trade and Industry; or

- be in the form of sworn affidavit in the case of a Qualify Small Enterprise (QSE) with a total annual revenue of between R10 million and R50 million if issued before 1 December 2017 in accordance with the revised Notice of Clarification published in Notice 444 of 2015 of Government Gazette No 38799 on 15 May 2015 by the Department of Trade and Industry; and

- be valid at the tender closing date; and- have a date of issue less than 12 (twelve) months prior to the tender closing

date (see Tender Data 4.15).

4. The attached Verification Certificate and the associated Assessment Report shall comply with the requirements of Tender Data, Clause 5.11.8 and shall identify:

(a) The name and domicilium citandi et executandi of the tenderer.(b) The registration and VAT number of the tenderer.(c) The dates of granting of the B-BBEE score and the period of validity.(d) The expiry date of the Verification Certificate.(e) A unique identification number.


(f) The standard and/or normative document, including the issue and/or revision used to evaluate the tenderer.

(g) The name and/or mark/logo of the B-BBEE Verification Agency.(h) The scorecard (GENERIC, QSE, Exempt) against which the tenderer has been

measured.(i) The B-BBEE status level.(j) The South African National Accreditation System (SANAS) logo on the

Verification Certificate once verification agencies have been accredited.(k) The B-BBEE procurement recognition level.(l) The score achieved per B-BBEE element.(m) The % black shareholding.(n) The % black women shareholding.(o) The % black persons with disabilities shareholding.(p) The % black youth shareholding.(q) the % black people living in rural or under-developed areas or townships

shareholding.(r) The % black military veterans shareholding.(s) The value-added status of the tenderer.

5. The Employer will not be responsible to acquire data that it needs for its own reporting systems and which may not form part of a Verification Agency’s standard certificate format. The tenderer, at its own cost, must acquire the specified data listed in 3 above from its selected Verification Agency and have it recorded on the certificate. Alternatively, such missing data must be supplied separately, but certified as correct by the same Verification Agency and also attached to this form.

SIGNED ON BEHALF OF THE TENDERER: _____________________________


B-BBEE EXEMPTED AFFIDAVIT FOR EXEMPTED MICRO ENTERPRISES (ISSUED IN TERMS OF THE AMENDED CONSTRUCTION SECTOR CODE)

(Gazette Vol. 630 No. 41287)Issued in terms of paragraph 3.6.2.4.1 (B)

I, the undersigned,

Full names and surname

Identity number

Hereby declare under oath as follows:

1. The contents of this statement are to the best of my knowledge a true reflection of the facts.2. I am a Member / Director / Owner of the following enterprise and am duly authorized to act on its behalf:

Enterprise Name:Trading Name (If Applicable):Registration Number:

Physical Address:

Type of Entity (CC, (Pty) Ltd, Sole Prop etc.):

Nature of Construction Business:Indicate the applicable category with a tick.

BEP(Built Environment Professional) Contractor Supplier

Definition of “Black People”

As per the Broad-Based Black Economic Empowerment Act 53 of 2003 asAmended by Act No 46 of 2013 “Black People” is a generic term which means Africans, Coloureds and Indians –who are citizens of the Republic of South Africa by birth or descent; or who became citizens of the Republic of South Africa by naturalization before 27 April 1994; or after 27 April 1994 and who would have been entitled to acquire citizenship by naturalization prior to that date;”

Definition of “Black Designated Groups”

“Black Designated Groups” means:unemployed black people not attending and not required by law to attend an educational institution and not awaiting admission to an educational institution;Black people who are youth as defined in the National Youth Commission Act of 1996;Black people who are persons with disabilities as defined in the Code of Good Practice on employment of people with disabilities issued under the Employment Equity Act;Black people living in rural and underdeveloped areas;Black military veterans who qualifies to be called a military veteran in terms of the Military Veterans Act 18 of 2011;”

3. I hereby declare under Oath that as per Amended Code Series 100 of the Amended Codes of Good Practice issued under section 9 (1) of B-BBEE Act No 53 of 2003 as Amended by Act No 46 of 2013,

The Enterprise is % Black Owned The Enterprise is % Black Female Owned The Enterprise is % Owned by Black Designated Group (provide Black Designated Group Breakdown below as

per the definition in the table above)

o Black Youth % %o Black Disabled % %o Black Unemployed % %o Black People living in Rural areas % %o Black Military Veterans % %


Based on the Financial Statements/Management Accounts and other information available on the latest financial year-end of , the annual Total Revenue was less than the applicable amount confirmed by ticking the applicable box below.

BEP R1.8 million

Contractor R3.0 million

Supplier R3.0 millionIf the turnover exceeds the applicable amount in the table above, then this affidavit is no longer applicable and an EME certificate must be obtained from a rating agency accredited by SANAS or when applicable a B-BBEE Verification Professional Regulator appointed by the Minister of Trade and Industry.

Please Confirm on the below table the B-BBEE Level Contributor, by ticking the applicable box below.

100% Black Owned Level One (135% B-BBEE procurement recognition level)

At least 51% Black Owned Level Two (125% B-BBEE procurement recognition level)

At least 30% Black Owned Level Four (100% B-BBEE procurement recognition level)

Less than 30% Black Owned Level Five (80% B-BBEE procurement recognition level)

3. I know and understand the contents of this affidavit and I have no objection to take the prescribed oath and consider the oath binding on my conscience and on the Owners of the Enterprise which I represent in this matter.

4. The sworn affidavit will be valid for a period of 12 months from the date signed by commissioner.

Deponent Signature:

Date:

Commissioner of OathsSignature & stamp


FORM A14: FORM SBD1 – INVITATION TO BID AND TERMS AND CONDITIONS FOR BIDDING


SBD 1PART A

INVITATION TO BIDYOU ARE HEREBY INVITED TO BID FOR REQUIREMENTS OF THE (NAME OF DEPARTMENT/ PUBLIC ENTITY)

BID NUMBER:

SANRAL R.510-020-2016/1C-SL

CLOSING DATE:FRIDAY 12 MARCH 2021

CLOSING TIME: 11:00

DESCRIPTION

SUB-CONTRACT FOR SITE MATERIALS LABORATORY FOR THE IMPROVEMENT OF NATIONAL ROUTE R.510 SECTION 2 FROM BIERSPRUIT (KM 6.3) TO THABAZIMBI (KM 33.8) (TOTAL 27.5 KM)

BID RESPONSE DOCUMENTS MAY BE DEPOSITED IN THE BID BOX SITUATED AT (STREET ADDRESS)South African National Roads Agency SOC Ltd: Northern Region, 38 Ida Street, Menlo Park, PRETORIA, 0081 Tender box at Guard House

BIDDING PROCEDURE ENQUIRIES MAY BE DIRECTED TO TECHNICAL ENQUIRIES MAY BE DIRECTED TO:CONTACT PERSON Meisie Beukes CONTACT PERSON Meisie BeukesTELEPHONE NUMBER (012) 426 6205 TELEPHONE NUMBER (012) 426 6200FACSIMILE NUMBER FACSIMILE NUMBERE-MAIL ADDRESS [email protected] E-MAIL ADDRESS [email protected] INFORMATIONNAME OF BIDDER

POSTAL ADDRESS

STREET ADDRESSTELEPHONE NUMBER CODE NUMBERCELLPHONE NUMBERFACSIMILE NUMBER CODE NUMBER

E-MAIL ADDRESSVAT REGISTRATION NUMBERSUPPLIER COMPLIANCE STATUS

TAX COMPLIANCE SYSTEM PIN:

ORCENTRAL SUPPLIER DATABASE No: MAAA


B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE

TICK APPLICABLE BOX]

Yes No

B-BBEE STATUS LEVEL SWORN AFFIDAVIT

[TICK APPLICABLE BOX]

Yes No

[A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE/ SWORN AFFIDAVIT (FOR EMES & QSEs) MUST BE SUBMITTED IN ORDER TO QUALIFY FOR PREFERENCE POINTS FOR B-BBEE]ARE YOU THE ACCREDITED REPRESENTATIVE IN SOUTH AFRICA FOR THE GOODS /SERVICES /WORKS OFFERED?

Yes No

[IF YES ENCLOSE PROOF]

ARE YOU A FOREIGN BASED SUPPLIER FOR THE GOODS /SERVICES /WORKS OFFERED?

Yes No

[IF YES, ANSWER THE QUESTIONNAIRE BELOW]

QUESTIONNAIRE TO BIDDING FOREIGN SUPPLIERS

IS THE ENTITY A RESIDENT OF THE REPUBLIC OF SOUTH AFRICA (RSA)? YES NO

DOES THE ENTITY HAVE A BRANCH IN THE RSA? YES NO

DOES THE ENTITY HAVE A PERMANENT ESTABLISHMENT IN THE RSA? YES NO

DOES THE ENTITY HAVE ANY SOURCE OF INCOME IN THE RSA? YES NO

IS THE ENTITY LIABLE IN THE RSA FOR ANY FORM OF TAXATION? YES NO IF THE ANSWER IS “NO” TO ALL OF THE ABOVE, THEN IT IS NOT A REQUIREMENT TO REGISTER FOR A TAX COMPLIANCE STATUS SYSTEM PIN CODE FROM THE SOUTH AFRICAN REVENUE SERVICE (SARS) AND IF NOT REGISTERED AS PER 2.3 BELOW.


PART BTERMS AND CONDITIONS FOR BIDDING

1. BID SUBMISSION:1.1. BIDS MUST BE DELIVERED BY THE STIPULATED TIME TO THE CORRECT ADDRESS.

LATE BIDS WILL NOT BE ACCEPTED FOR CONSIDERATION.

1.2. ALL BIDS MUST BE SUBMITTED ON THE OFFICIAL FORMS PROVIDED–(NOT TO BE RE-TYPED) OR IN THE MANNER PRESCRIBED IN THE BID DOCUMENT.

1.3. THIS BID IS SUBJECT TO THE PREFERENTIAL PROCUREMENT POLICY FRAMEWORK ACT, 2000 AND THE PREFERENTIAL PROCUREMENT REGULATIONS, 2017, THE GENERAL CONDITIONS OF CONTRACT (GCC) AND, IF APPLICABLE, ANY OTHER SPECIAL CONDITIONS OF CONTRACT.

1.4. THE SUCCESSFUL BIDDER WILL BE REQUIRED TO FILL IN AND SIGN A WRITTEN CONTRACT FORM (SBD7).

2. TAX COMPLIANCE REQUIREMENTS2.1 BIDDERS MUST ENSURE COMPLIANCE WITH THEIR TAX OBLIGATIONS.

2.2 BIDDERS ARE REQUIRED TO SUBMIT THEIR UNIQUE PERSONAL IDENTIFICATION NUMBER (PIN) ISSUED BY SARS TO ENABLE THE ORGAN OF STATE TO VERIFY THE TAXPAYER’S PROFILE AND TAX STATUS.

2.3 APPLICATION FOR TAX COMPLIANCE STATUS (TCS) PIN MAY BE MADE VIA E-FILING THROUGH THE SARS WEBSITE WWW.SARS.GOV.ZA.

2.4 BIDDERS MAY ALSO SUBMIT A PRINTED TCS CERTIFICATE TOGETHER WITH THE BID.

2.5 IN BIDS WHERE CONSORTIA / JOINT VENTURES / SUB-CONTRACTORS ARE INVOLVED; EACH PARTY MUST SUBMIT A SEPARATE TCS CERTIFICATE / PIN / CSD NUMBER.

2.6 WHERE NO TCS PIN IS AVAILABLE BUT THE BIDDER IS REGISTERED ON THE CENTRAL SUPPLIER DATABASE (CSD), A CSD NUMBER MUST BE PROVIDED.

2.7 NO BIDS WILL BE CONSIDERED FROM PERSONS IN THE SERVICE OF THE STATE, COMPANIES WITH DIRECTORS WHO ARE PERSONS IN THE SERVICE OF THE STATE, OR CLOSE CORPORATIONS WITH MEMBERS PERSONS IN THE SERVICE OF THE STATE.”

NB: FAILURE TO PROVIDE / OR COMPLY WITH ANY OF THE ABOVE PARTICULARS MAY RENDER THE BID INVALID.

SIGNATURE OF BIDDER:……………………………………………

CAPACITY UNDER WHICH THIS BID IS SIGNED:……………………………………………

(Proof of authority must be submitted e.g. company resolution)

DATE:…………………………………………...


FORM B1: TECHNICAL AND MANAGERIAL ASPECTS OF SENIOR SITE LABORATORY MANAGER CONTRACT SANRAL R.510-020-2016/1C-SLSUB-CONTRACT FOR SITE MATERIALS LABORATORY FOR THE IMPROVEMENT OF NATIONAL ROUTE R510 SECTION 2 FROM BIERSPRUIT (KM 6.3) TO THABAZIMBI (KM 33.8) (TOTAL 27.5 KM)

NAME

HIGHEST SECONDARY OR TERTIARY QUALIFICATION

DATE GRADUATED CERTIFIED COPY OF QUALIFICATION ATTACHEDNOTE TO TENDERER: MARK IN BOX BELOW IF

COPY IS ATTACHEDYes No

YEARS OF RELEVANT EXPERIENCE RÉSUMÉ ATTACHED FROM CANDIDATE TO CONFIRM YEARS OF RELEVANT EXPERIENCE

NOTE TO TENDERER: MARK IN BOX BELOW IF RÉSUMÉ IS ATTACHEDYES NO


Technical/Managerial Experience

Note to Tenderer: 1) The candidate shall list the projects and time in commercial lab or any other work chronologically in the table below

2) The Position of Senior Site Laboratory Manager requires a 10 (ten) year period and the Position of a Site Laboratory Manager requires a period of 5 (five) year to be fully described in the table.

CLIENT & PROJECTNO (NOTE 1)

LABORATORY TYPES (NOTE 2)

RELEVANT EXPERIENCE STARTED (NOTE 3)

RELEVANT EXPERIENCE ENDED (NOTE 4)

POSITION HELD (NOTE 5)

CONTACT PERSON AND POSITION (NOTE 6)

CONTACT NO.

GR AS SE C


CLIENT & PROJECTNO (NOTE 1)

LABORATORY TYPES (NOTE 2)

RELEVANT EXPERIENCE STARTED (NOTE 3)

RELEVANT EXPERIENCE ENDED (NOTE 4)

POSITION HELD (NOTE 5)

CONTACT PERSON AND POSITION (NOTE 6)

CONTACT NO.

GR AS SE C

HAS THE CANDIDATE COMPLETED THE LABORATORY SYSTEMS COURSE BASED ON ISO 17025 PRESENTED BY SANAS

IS THE CANDIDATE A TECHNICAL SIGNATORY OF A SANAS ACCREDITED LABORATORY FACILITY

Yes No Yes No

IF YES, ATTACH A CERTIFIED COPY OF CERTIFICATE IF YES, ATTACH CERTIFIED COPY OF SANAS SCHEDULE OF ACCREDITATION

SANAS Facility Accreditation Number As indicated in the schedule of accreditation (may differ from Number supplied on Forms C1 & C2)

I declare and confirm by my signature hereto that the information provided herein is true, that the positions occupied, the projects reported and the corresponding responsibilities are truly my own experiences.

SIGNATURE OF CANDIDATE: DATE


T

Notes to Tenderer:

1. The Client shall be the relevant authority for which the works were completed and NOT the supervising consultant or contractor, this could for example be SANRAL, or DRPW (Eastern Cape) or ESKOM, or Tshwane Metropolitan Municipality etc.

2. The candidate shall mark the laboratory type or types for which he/she was responsible in the time period, with GR being a Soils and Gravels lab type, AS being an asphalt lab type, SE being a Seals lab type and CO being a Concrete lab type.

3 Month and Year for the start of the relevant experience. This in relevant dates for the candidate and shall be limited to the direct involvement of the candidate.

4. Month and Year for the end of the relevant experience. This in relevant dates for the candidate and shall be limited to the direct involvement of the candidate and shall not extend into the future. Is the project claimed is ongoing; the date of this tender shall be supplied as the end of experience date.

5. Refer to abbreviation in the list below for positions held. Any position indicated on the form that is not covered in the list below shall render the experience to NOT contribute to the total score for the candidate

6. Provide contact persons that will be able to verify the candidate’s experiences and their role in the specific project or working environment. It should be noted that the personnel from the consulting engineer with which the candidate had worked on site may be more relevant than the project manager for the project from the roads authority. Should the contact person not be in a position to confirm any or all the information related to the period, the period will not contribute towards the candidates score.

POSITIONS (NOTES 5) ABBREVIATIONSenior Laboratory Manager SLMLaboratory Manager LMJunior Laboratory Manager JLMTrainee Site Laboratory Manager TLMGeneral Manager of a Commercial lab GMcomSenior Laboratory Manager in Commercial lab SLMcomLaboratory Manager in Commercial lab LMcomTrainee Laboratory Manager in Commercial lab TLMcomSenior Materials Tester SMTestMaterials Tester MTestAssistant Materials Tester AMTestResident engineer REAssistant resident engineer ARESenior Materials Technician SMTMaterials Technician MT


PROCEDURE FOR EVALUATION OF FORM B1:

The following is used in the Quality Points evaluation Technical/Managerial Experience (20 points) Laboratory Systems Course based of ISO17025 presented by SANAS (5 points) Technical Signatory of the tendering Main Laboratory (5 points)

A) The procedure for scoring the Technical/Managerial Experience shall be done as follows:Step 1. For each complete line, determine the time claimed in each completed line in Technical/Managerial Experience table. If a

date is provided that is beyond the date of tender closure, the date of tender closure shall be used as the end date for the line of experience. The time shall be determined in calendar days.

Step 2. Determine the total time covered in the table by adding together the time for each line. The total time covered shall not be the date of tender closure minus the earliest date in the table. Should the total time for a Senior Laboratory Manager be less the 3650 days, 3650 days will be used in Step 3 instead of the total time determined in Step 2.

Step 3. For each line item, allocate a weighted line score by dividing the number of days for the line (from Step 1) by the total time in days (from Step 2). Then multiply each fraction by 20.

Step 4. Allocate the factor from table B1-E1 below for Client to each line item:

TABLE B1-E1: CLIENT FACTORS:

CLIENT FACTORSANRAL or One of the 9 RSA Province’s departments responsible for the Province’s roads 1.00

Toll-Concessioners on SANRAL Toll-Network 0.80One of the 9 Metropolitan Municipalities Roads and Streets Departments 0.80

Any other client than listed in the three lines of the table above 0.60

Time in Commercial Laboratory (Various Clients) 0.60

Step 5. Apply the factor from Step 4 to the line score (from Step 3)


Step 6. Allocate the factor from table B2-E2 below for Position to each line item. If the B1 form was required for a Senior Lab Manager, use the factor in the Senior Laboratory Manager column. If the B1 form was required for a Lab Manager, use the factor in the Laboratory Manager column.

TABLE B1-E2: POSITION FACTOR

POSITION CODE

POSITION SENIOR LAB

MANAGER

LAB MANAGER

SLM Senior (Site) Laboratory Manager 1.00 1.20LM (Site) Laboratory Manager (Previously

Junior Lab Manager)0.80 1.00

JLM Junior Laboratory Manager 0.80 1.00TLM Trainee Site Laboratory Manager 0.60 0.80GMCom General Manager of a Commercial lab 1.20 1.40SLMComm Senior Laboratory Manager in

Commercial lab0.90 1.10

LMComm Laboratory Manager in Commercial lab 0.70 0.90TLMComm Trainee Laboratory Manager in

Commercial lab0.50 0.70

SMTest Senior Materials Tester 0.60 0.80MTest Materials Tester 0.40 0.60AMTest Assistant Materials Tester 0.20 0.40RE Resident Engineer 1.00 1.20ARE Assistant Resident Engineer 1.00 1.20SMT Senior Materials Technician 1.20 1.40MT Materials Technician 1.00 1.20

Any other, e.g. Site Agent, Contracts Engineer

0.00 0.00

Step 7. Apply the factor from Step 6 to the line score (from Step 5)


Step 8. Tally up the line scores from Step 7 to determine the total score for experience. Should the total be in excess of 20 points, carry a score of 20 points forward.

B) The procedure for scoring the Laboratory Systems Course based of ISO17025 presented by SANAS shall be done as follows:Step 1. Score 5 points if the candidate has completed the course at SANAS and had provided proof. NO other training institution’s

course shall be accepted.

C) The procedure for scoring the Technical Signatory of the tendering Main Laboratory shall be done as follows:Step 1. Score 5 points if the candidate is proved to be a technical signatory of the tendering main laboratory. Proof is submitted by

means of the candidate’s name appearing as a technical signatory on the Schedule of Accreditation from an accredited laboratory.

FINAL SCORE CALCULATION:

The scores for Technical/Managerial Experience, Laboratory Systems Course based of ISO17025 presented by SANAS and Technical Signatory of the tendering Main Laboratory are added together to calculate the total score for Form B1.


FORM B2: TECHNICAL AND MANAGERIAL ASPECTS OF QUALITY ASSURANCE MANAGER


NAME DATE OF BIRTH

YEARS OF RELEVANT EXPERIENCE RÉSUMÉ ATTACHED FROM CANDIDATE TO CONFIRM YEARS OF RELEVANT EXPERIENCE

NOTE TO TENDERER: MARK IN BOX BELOW IF RÉSUMÉ IS ATTACHED

HAS THE CANDIDATE COMPLETED THE LABORATORY SYSTEMS COURSE BASED ON ISO 17025 PRESENTED BY SANAS

HAS THE CANDIDATE COMPLETED THE INTERNAL AUDITING COURSE BASED ON ISO 17025 PRESENTED BY SANAS

YES NO YES NO

IF YES, ATTACH COPY OF CERTIFICATE IF YES, ATTACH COPY OF CERTIFICATE

*NOT PART OF QUALITY EVALUATION (REFER TO CLAUSE 4.1.1, TENDER DATA) *NOT PART OF QUALITY EVALUATION (REFER TO CLAUSE 4.1.1, TENDER DATA)

Technical/Managerial Experience

LABORATORY OR EMPLOYER

ACCREDITATION NUMBER

RELEVANT EXPERIENCE IN YEARS

POSITION HELD 5) CONTACT PERSON AND POSITION

CONTACT NO.


LABORATORY OR EMPLOYER

ACCREDITATION NUMBER

RELEVANT EXPERIENCE IN YEARS

POSITION HELD 5) CONTACT PERSON AND POSITION

CONTACT NO.

HAS THE CANDIDATE COMPLETED THE TECHNICAL ASSESSING TECHNIQUES COURSE BASED ON ISO 17025 PRESENTED BY SANAS

IS THE CANDIDATE A TECHNICAL SIGNATORY OR NOMINATED REPRESENTATIVE OF THE TENDERING MAIN LABORATORY

YES NO YES NO

IF YES, ATTACH COPY OF CERTIFICATE IF YES, ATTACH SANAS SCHEDULE OF ACCREDITATION

SANAS Facility Accreditation Number As indicated in the schedule of accreditation (May NOT differ from the Number supplied on Forms C1 & C2)

I declare and confirm by my signature hereto that the information provided herein is true

SIGNATURE OF CANDIDATE: DATE


T

PROCEDURE FOR EVALUATION OF FORM B2:

The following is used in the Quality Points evaluation: Technical Assessing Techniques Course based on ISO 17025 presented by SANAS (5 points) A Technical Signatory or the nominated representative of the tendering Main Laboratory (5 points, should the person be both, a max.

of 5 points is awarded) Previous Applicable Experience in a Civil Materials Laboratory (max. 10 points available)

A) The procedure for scoring the Technical Assessing Techniques Course based on ISO17025 presented by SANAS shall be done as follows:

Step 1. Score 5 points if the candidate has completed the course at SANAS and had provided proof. NO other training institution’s course shall be accepted.

B) The procedure for scoring the Technical Signatory of the tendering Main Laboratory shall be done as follows:Step 1. Score 5 points if the candidate is proved to be a technical signatory of the tendering main laboratory. Proof is submitted by

means of the candidate’s name appearing as a technical signatory on the Schedule of Accreditation of the main laboratory.

C) The procedure for scoring the additional relevant experience shall be as follows: Step1. Score the candidate according to Table B2-E1. The candidate may only claim a maximum of 10 (ten) points, as listed below.

TABLE B2-E1: EXPERIENCE POINTS

RELEVANT EXPERIENCE (YEARS)

NUMBER OF POINTS

8 09 1

10 211 312 413 514 615 716 817 9

18 or more 10


FINAL SCORE CALCULATION:

The scores for Technical Assessing Techniques Course based of ISO17025 presented by SANAS, Technical Signatory of the tendering Main Laboratory, Previous experience as a Laboratory Manager and Previous experience as a Senior Materials Tester are added together to calculate the total score for Form B2


FORM C1: QUALITY ASSURANCE MANAGEMENT SYSTEM’S COVERAGE OF TEST METHODS IN THE MAIN LABORATORY


SANAS Facility Accreditation Number As indicated in the schedule of accreditation

Note to Tenderer:

1. The tenderer shall select one SANAS Accredited Facility (also referred to the Main Accredited Laboratory) and indicate tests on the table for quality score evaluation.

2. A certified copy of the Tenderer’s SANAS ISO 17025 Accreditation Certificate shall be attached to this page including the schedule of accreditation.

3. Please tick the tests for which the tenderer is accredited for. This information is deemed to be material to the award of the Contract as it will lead to the assignment of Points used in the quality score evaluation (refer to 5.11.9)

4.The test method number shall be determined in any ambiguity.

DESCRIPTION TEST METHOD1 Sampling of Road Pavement Layers TMH5 MA2 or MC1 2 Sampling from Stockpiles TMH5 MB1 3 Sampling of Bituminous Binders TMH5 MB4

4 Sampling of Previously Blended (ready mixed) Asphalt TMH5 MB7

5 Sampling of Slurry Mixtures TMH5 MB8 6 Sampling of Freshly Mixed Concrete TMH5 MB9 7 Sampling of Treated Pavement Layers TMH5 MB10

8 Sampling of Asphalt or Concrete from completed layer or structure TMH5 MC2

9 Sampling and Sample Preparation of Modified Binders TG1 MB1 and MB2

10 Division of a Sample Using the Riffler or by Quartering

TMH5 MD1 or MD2

11 Making of asphalt briquettes for Marshall tests and other specialized tests SANS 3001-AS1

12 Wet preparation and air-drying of samples for plasticity index and hydrometer tests SANS 3001-GR5

13 Particle size analysis of aggregates by sieving SANS 3001-AG1

14 Determination of the average least dimension of aggregates by direct measurement SANS 3001-AG2

15 Determination of the flakiness index of coarse aggregate SANS 3001-AG4

16 Sand equivalent value of fine aggregates SANS 3001-AG5

17ACV (aggregate crushing value) and 10% FACT (fines aggregate crushing test) values of coarse aggregates

SANS 3001-AG10

18 Polished-stone value of aggregates SANS 3001-AG11

19Determination of the bulk density, apparent density and water absorption of aggregate particles retained on the 5 mm sieve for road construction

SANS 3001-AG20


T

DESCRIPTION TEST METHODmaterials

20Determination of the bulk density, apparent density and water absorption of aggregate particles passing the 5 mm sieve for road construction materials

SANS 3001-AG21

21 Apparent density of crushed stone base SANS 3001-AG22

22 Determination of Marshall stability, flow and quotient SANS 3001-AS2

23 Determination of bulk density and void content of compacted asphalt SANS 3001-AS10

24Determination of the maximum void-less density of asphalt mixes and the quantity of binder absorbed by the aggregate

SANS 3001-AS11

25 Determination of the soluble binder content and particle size analysis of an asphalt mix SANS 3001-AS20

26 Determination of the binder content of mixtures used in bituminous slurry seals SANS 3001-AS22

27 Determination of the in situ permeability of a bituminous surfacing (Marvil test) SANS 3001-BT12

28 Standard Test Method for Penetration of Bituminous Materials

ASTM D5 or EN1426

29 Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) ASTM D36

30 Standard Test Method for Viscosity Determinations (HAAKE) ASTM D4402

31 Ball penetration test for the design of surfacing seals SANS 3001-BT10

32 Texture depth measurement for the design of surfacing seals SANS 3001-BT11

33 Measurement of transverse distribution ('Bucket test') for a binder distributor SANS 3001-BT24

34 Wet preparation and particle size analysis SANS 3001-GR1

35 Determination of the one-point liquid limit, plastic limit, plasticity index and linear shrinkage SANS 3001-GR10

36 Determination of the liquid limit with the two-point method SANS 3001-GR11

37 Determination of the flow curve liquid limit SANS 3001-GR12

38 Determination of the moisture content by oven-drying SANS 3001-GR20

39 Determination of the maximum dry density and optimum moisture content SANS 3001-GR30

40Determination of the maximum dry density and optimum moisture content of laboratory mixed cementitiously stabilized materials

SANS 3001-GR31

41 Determination of the California bearing ratio SANS 3001-GR40

42 Preparation, compaction and curing of specimens of laboratory mixed cementitiously stabilized materials SANS 3001-GR50

43

Sampling, preparation, compaction and curing of field mixed freshly cementitiously stabilized materials including the determination of the maximum dry density and optimum moisture content

SANS 3001-GR51

44Determination of the unconfined compressive strength of compacted and cured specimens of cementitiously stabilized materials

SANS 3001-GR53


DESCRIPTION TEST METHOD

45Determination of the indirect tensile strength of compacted and cured specimens of cementitiously stabilized materials

SANS 3001-GR54

46Determination of the wet-dry durability of compacted and cured specimens of cementitiously stabilized materials by hand brushing

SANS 3001-GR55

47 Determination of the initial stabilizer consumption of soils and gravels SANS 3001-GR57

48 Determination of in situ density using a nuclear density gauge SANS 3001-NG5

49 Consistence of freshly mixed concrete - Slump test SANS 5862-1

50 Making and curing of test specimens and Compressive strength of hardened concrete

SANS 5861-3 and SANS 5863

CALCULATIONS OF QUALITY SCORE FOR ACCREDITED TESTS: (SEE 5.11.9 Tender Data)

Number of Tests claimed from Form C1(Check on Tenderers’ Accreditation Schedule) X 20 = points awarded

50

SCORE CLAIMED: .................................................

SIGNED ON BEHALF OF THE TENDERER: _________________________________


PROCEDURE FOR EVALUATION OF FORM C1:

The following is used in the Quality Points evaluation Compare form C1 with the tenderer’s SANAS Schedule of Accreditation and make sure

that all the test methods claimed on form C1 appear on the Schedule of Accreditation. If tests are claimed that does not appear on the Schedule of Accreditation, they shall be taken off the total number on form C1. Should tests appear on the Schedule of Accreditation and was not claimed by the tenderer on form C1, the total number of tests shall NOT be added.

The total number of tests is divided by 50 and multiplied by 20 to calculate the total score for Form C1.


FORM C2: QUALITY ASSURANCE MANAGEMENT SYSTEM’S COVERAGE OF PROJECT SPECIFIC TEST METHODS IN THE MAIN LABORATORY


SANAS Facility Accreditation Number As indicated in the schedule of accreditation

Note to Tenderer:

1. The tenderer shall select one SANAS Accredited Facility (also referred to the Main Accredited Laboratory) and indicate tests on the table for quality score evaluation.

2. A certified copy of the Tenderer’s SANAS ISO 17025 Accreditation Certificate shall be attached to this page including the schedule of accreditation.

3. Please tick the tests for which the tenderer is accredited for. This information is deemed to be material to the award of the Contract as it will lead to the assignment of Points used in the quality score evaluation (refer to 5.11.9)

4. The test method number shall be determined in any ambiguity.

DESCRIPTION TEST METHOD1 Sampling of Road Pavement Layers TMH5 MA2 or MC1 2 Sampling from Stockpiles TMH5 MB1 3 Sampling of Bituminous Binders TMH5 MB4

4 Sampling of Previously Blended (ready mixed) Asphalt TMH5 MB7

5 Sampling of Freshly Mixed Concrete TMH5 MB9 6 Sampling of Treated Pavement Layers TMH5 MB10

7 Sampling of Asphalt or Concrete from completed layer or structure TMH5 MC2

8 Sampling and Sample Preparation of Modified Binders TG1 MB1 and MB2

9 Division of a Sample Using the Riffler or by Quartering

TMH5 MD1 or MD2

10 Making of asphalt briquettes for Marshall tests and other specialized tests SANS 3001-AS1

11 Wet preparation and air-drying of samples for plasticity index and hydrometer tests SANS 3001-GR5

12 Particle size analysis of aggregates by sieving SANS 3001-AG1

13 Determination of the average least dimension of aggregates by direct measurement SANS 3001-AG2

14 Determination of the flakiness index of coarse aggregate SANS 3001-AG4

15ACV (aggregate crushing value) and 10% FACT (fines aggregate crushing test) values of coarse aggregates

SANS 3001-AG10

16

Determination of the bulk density, apparent density and water absorption of aggregate particles retained on the 5 mm sieve for road construction materials

SANS 3001-AG20


T

DESCRIPTION TEST METHOD

17Determination of the bulk density, apparent density and water absorption of aggregate particles passing the 5 mm sieve for road construction materials

SANS 3001-AG21

18 Apparent density of crushed stone base SANS 3001-AG22

19 Determination of Marshall stability, flow and quotient SANS 3001-AS2

20 Determination of bulk density and void content of compacted asphalt SANS 3001-AS10

21Determination of the maximum void-less density of asphalt mixes and the quantity of binder absorbed by the aggregate

SANS 3001-AS11

22 Determination of the soluble binder content and particle size analysis of an asphalt mix SANS 3001-AS20

23 Determination of the in situ permeability of a bituminous surfacing (Marvil test) SANS 3001-BT12

24 Standard Test Method for Penetration of Bituminous Materials

ASTM D5 or EN1426

25 Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) ASTM D36

26 Standard Test Method for Viscosity Determinations (HAAKE) ASTM D4402

27 Ball penetration test for the design of surfacing seals SANS 3001-BT10

28 Texture depth measurement for the design of surfacing seals SANS 3001-BT11

29 Measurement of transverse distribution ('Bucket test') for a binder distributor SANS 3001-BT24

30 Wet preparation and particle size analysis SANS 3001-GR1

31 Determination of the one-point liquid limit, plastic limit, plasticity index and linear shrinkage SANS 3001-GR10

32 Determination of the liquid limit with the two-point method SANS 3001-GR11

33 Determination of the moisture content by oven-drying SANS 3001-GR20

34 Determination of the maximum dry density and optimum moisture content SANS 3001-GR30

35Determination of the maximum dry density and optimum moisture content of laboratory mixed cementitiously stabilized materials

SANS 3001-GR31

36 Determination of the California bearing ratio SANS 3001-GR40

37 Preparation, compaction and curing of specimens of laboratory mixed cementitiously stabilized materials SANS 3001-GR50

38

Sampling, preparation, compaction and curing of field mixed freshly cementitiously stabilized materials including the determination of the maximum dry density and optimum moisture content

SANS 3001-GR51

39Determination of the unconfined compressive strength of compacted and cured specimens of cementitiously stabilized materials

SANS 3001-GR53

40Determination of the indirect tensile strength of compacted and cured specimens of cementitiously stabilized materials

SANS 3001-GR54

41 Determination of in situ density using a nuclear density gauge SANS 3001-NG5


DESCRIPTION TEST METHOD42 Consistence of freshly mixed concrete - Slump test SANS 5862-1

43 Making and curing of test specimens and Compressive strength of hardened concrete

SANS 5861-3 and SANS 5863

CALCULATIONS OF QUALITY SCORE FOR ACCREDITED TESTS: (SEE 5.11.9 Tender Data)

Number of Tests claimed from Form C2(Check on Tenderers’ Accreditation Schedule) X 30 = points awarded

(43)

SCORE CLAIMED: .................................................



PROCEDURE FOR EVALUATION OF FORM C2:

The following is used in the Quality Points evaluation Compare form C2 with the tenderer’s SANAS Schedule of Accreditation and make sure

that all the test methods claimed on form C2 appear on the Schedule of Accreditation. If tests are claimed that does not appear on the Schedule of Accreditation, they shall be taken off the total number on form C2. Should tests appear on the Schedule of Accreditation and was not claimed by the tenderer on form C2, the total number of tests shall NOT be added.

The total number of tests is divided by project specific total number of tests (43) and multiplied by 30 to calculate the total score for Form C2.


FORM D1: SCHEDULE OF RETURNABLE DOCUMENTS


Note to tenderer:This form has been created as an aid to ensure a tenderer’s compliance with the completion of the returnable forms and schedules and subsequent placement in the correct envelope.

CLAUSE NO FORM DESCRIPTION TICK IF

COMPLETED

T2.1 FORM A1: CERTIFICATE OF ATTENDANCE AT CLARIFICATION MEETING

T2.1 FORM A1.1: CERTIFICATE OF INTENTION TO SUBMIT A TENDER

T2.1 FORM A2.1: CERTIFICATE OF AUTHORITY FOR SIGNATORY

T2.1FORM A2.2: DECLARATION OF TENDERER’S CURRENT STATUS OF ANY DEBT OUTSTANDING TO SANRAL

T2.1FORM A3.1: COMPULSORY ENTERPRISE QUESTIONNAIRE (INCORPORATING SBD4)

T2.1FORM A3.2: CERTIFICATE OF INDEPENDENT TENDER (INCORPORATING SBD9)

T2.1FORM A3.3: DECLARATION OF TENDERER’S PAST SUPPLY CHAIN MANAGEMENT PRACTICES (INCORPORATING SBD8)

T2.1FORM A3.4: REGISTRATION ON NATIONAL TREASURY CENTRAL SUPPLIER DATABASE

T2.1 FORM A3.5: JOINT VENTURE AGREEMENT

T2.1 FORM A4: SCHEDULE OF VARIATIONS OR DEVIATIONS BY TENDERER

T2.1 FORM A5: SCHEDULE OF ADDENDA TO TENDER DOCUMENTS

T2.1 FORM A6: CERTIFICATES OF TAX COMPLIANCE (INCORPORATING SBD2)

T2.1 FORM A7: CERTIFICATE OF INSURANCE COVER

T2.1 FORM A8: TENDERER’S CREDIT RATING AND BANK DETAILS

T2.1 FORM A9: CERTIFICATE OF TENDERER'S LITIGATION HISTORY

T2.1 FORM A10: SCHEDULE OF CURRENT COMMITMENTS

T2.1 FORM A11: POSSIBLE COMMITMENTS OF KEY PERSONNEL

T2.1FORM A12: CERTIFICATE OF COMPLIANCE WITH OCCUPATIONAL HEALTH AND SAFETY ACT, 1993 AND CONSTRUCTION REGULATIONS, 2014 AS WELL AS COID ACT, 1993Error: Reference source not found

T2.1FORM A13: TENDER’S B-BBEE VERIFICATION CERTIFICATE (INCORPORATING SBD6.1)

T2.1FORM A14: FORM SBD1 – INVITATION TO BID AND TERMS AND

CONDITIONS FOR BIDDING


T2.1FORM B1: TECHNICAL AND MANAGERIAL ASPECTS OF SENIOR SITE LABORATORY MANAGER

T2.1FORM B2: TECHNICAL AND MANAGERIAL ASPECTS OF QUALITY ASSURANCE MANAGER

T2.1FORM C1: QUALITY ASSURANCE MANAGEMENT SYSTEM’S COVERAGE OF TEST METHODS IN THE MAIN LABORATORY

T2.1FORM C2: QUALITY ASSURANCE MANAGEMENT SYSTEM’S COVERAGE OF PROJECT SPECIFIC TEST METHODS IN THE MAIN LABORATORY

T2.1 FORM D1: SCHEDULE OF RETURNABLE DOCUMENTS

C1.1.1 Error: Reference source not found

C1.2.3 Error: Reference source not foundError: Reference source not found

C2.2 Error: Reference source not found



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